Individual
MR. BENJAMIN RAY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
338 HIGHWAY 99 N, EUGENE, OR 97402-2404
(541) 505-5662
(541) 683-6196
Mailing address
338 HIGHWAY 99 N, EUGENE, OR 97402-2404
(541) 505-5662
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
17-CRM-158
OR
Other
Enumeration date
02/19/2019
Last updated
04/20/2020
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